A new client with mania is admitted to the unit. This client is loud and disruptive of the ward milieu. The nursing staff remain calm and patient
During arts and crafts activities, when this client's attempts to run the group are ignored, the client begins to curse at the leader. The BEST nursing intervention is to: a. encourage the group to accept peer leadership
b. ignore the bad language and remain calm
c. escort this client to a quiet private room
d. give this client a more important task
C
When a client becomes disruptive during a group meeting, the best nursing intervention is to escort the client to a quiet private room. The client may need to be in an environment with less stimulation. The nurse would stay with the client to discuss the client's feelings at the time. This would help facilitate the nurse-client relationship and indicate nursing presence.
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A breastfeeding mother who was discharged yesterday calls to ask about a tender hard area on her right breast. The nurse's first response should be:
a. "Try massaging the area and apply heat; it is probably a plugged duct." b. "Stop breastfeeding because you probably have an infection." c. "Notify your doctor so he can start you on antibiotics." d. "This is a normal response in breastfeeding mothers."
A patient who has had surgery this morning for cataracts is now going home. What should the nurse include when providing discharge instructions? (Select all that apply.)
a. Sleep on the affected side. b. Use stool softeners. c. Avoid bending over. d. Avoid lifting anything heavier than 5 lb. e. Do not wear an eye shield at night.
A registered nurse is providing care for a client who lived alone prior to hospitalization. The client's functional status has changed to the point of being unable to live alone anymore
The client is considering moving into an extended care facility. After communicating this information to the charge nurse of the unit where team nursing is practiced, the charge nurse would: 1. Assist the registered nurse in setting up a multidisciplinary conference to discuss the discharge needs of the client. 2. Assist the registered nurse in getting a case manager involved in the discharge process for the client. 3. Assume the responsibility for discharge planning for the client. 4. Assume responsibility for the care of the registered nurse's patients to allow for direct communication by the registered nurse with the client's health care provider.
A client with asthma asks the nurse which type of medication will decrease inflammation associated with asthma. What is the best response by the nurse?
1. "Corticosteroids." 2. "Expectorants." 3. "Bronchodilators." 4. "Antitussives."